The influence of social and cultural practices on maternal mortality: a qualitative study from South Punjab, Pakistan

Abstract Background A disproportionately high rate of maternal deaths is reported in developing and underdeveloped regions the world. Much this associated with social cultural factors, which form barriers to women utilizing appropriate healthcare. huge body research available on mortality countries. Nevertheless, there a lack literature socio-cultural factors leading within context Three Delays Model. The current study aims explore delay seeking care healthcare South Punjab, Pakistan. Methods We used qualitative method performed three types data collection different target groups: (1) 60 key informant interviews gynaecologists, (2) four focus group discussions Lady Health Workers (LHWs), (3) ten case studies among family members deceased mothers. was conducted Dera Ghazi Khan, situated analysed help thematic analysis. Results identified that care—and potentially resulting mortality—is more likely occur Pakistan due certain factors. Poor socioeconomic status, limited knowledge about care, financial constraints rural people were main care. low status male domination keeps less empowered. preference for traditional birth attendants results deaths. In addition, early marriages planning, are deeply entrenched values, religion traditions—e.g., influence or spiritual healers—prevented young girls from obtaining Conclusion prevalence alarming uphill struggle reduce pregnant firmly rooted addressing practices, create poverty reduction enhancing decision-making power essential supporting women’s right medical